Restrictive lung disease CIS- Kinder

Question 1

What kind of CXR do we see with chronic eosinophilic pneumonia?

Answer 1

peripheral pattern of infiltrates; reverse of pulmonary edema

Question 2

Caplan’s syndrome

Answer 2

pneumoconiosis with rheumaoid arthritis

Question 3

BOOP =

Answer 3

cryptogenic organizing pneumonia

Question 4

Eggshell calcifications are classic for

Answer 4

silicosis

puts you at risk for TB; look at 10mm PPD

Question 5

what do we see in coal worker’s pneumoconiosis?

Answer 5

coalescence of particle-containing macules that form discrete areas of interstitial fibrosis causing distention of the respiratory bronchioles, forming focal areas of emphysema

Question 6

Differential Diagnosis of Cavitary Lung Lesions

Answer 6

C Carcinoma: squamous cell, melanoma, cervical, sarcoma metastasis
A Autoimmune: Wegner’s, rheumatoid lung
V Vascular: bland/septic emboli
I Infection: TB, fungal (coccidio, aspergillosis, cryptosporidia, nocardia) bacterial ( esp. GNR, staph, strep
T Trauma
Y Young congenital lesions (bronchogenic cyst or communicating sequestration

Question 7

Amiodarone Lung

Answer 7

Usually 2-4 months at doses greater than 400 mg/day
- Lipid laden foamy alveolar macrophages
Organizing pneumonia
- 25% of cases. Mimics infectious pneumonia
ARDS
-Post surgical. Diffuse alveolar damage with interstitial pneumonitis 1-4 days post intubation.
Diffuse alveolar hemorrhage
- Rare. First few days to 6 months
Solitary Pulmonary Mass
- rare

Question 8

Light Criteria for Exudate

Answer 8

1. Pleural fluid protein/serum protein > 0.5
2. Pleural fluid LDH/Serum LDH > 0.6
3. Pleural fluid LDH more than two-thirds normal upper limit for serum

Question 9

Heerfordt’s disease

Answer 9

A variant of Sarcoidosis

Characterized by nonsuppurative parotitis, uveitis, mild fever, and facial nerve paralysis

Question 10

Wuchereria bancrofti

Answer 10

parasite
Elephantiasis
Tropical Pulmonary Eosinophilia

diurnal pattern

treat with Diethylcarbamazine

Question 11

classically, patients with allergic bronhopulmonary aspergillosis have a history of

Answer 11

asthma

Question 12

Loeffler’s syndrome

Answer 12

eosinophils accumulate in the lung in response to a parasitic infection.

cough them up, swallow –> GI symptoms

classically caused by Ascaris lumbricoides,

Question 13

radiation can cause

Answer 13

radiation pneumonitis (inflammation that can also cause fever, etc.)

scarring, fibrosis in the lungs

Question 14

p-anca goes with

Answer 14

Churg-strauss

Question 15

c-anca goes with

Answer 15

Wegener’s

Question 16

ARDS CXR

Answer 16

“white-out”- diffuse

Question 17

silo filler’s disease

Answer 17

nitrous dioxide inhalation–> form nitric acid in the lungs

Question 18

value of a high-resolution CT

Answer 18

can pick up interstitial changes early when the X-ray doesn’t yet

can see the honeycombingg

Question 19

anti-scl-70 antibody

Answer 19

scleroderma

Question 20

“no evidence of ground glass opacities” means

Answer 20

probably not reversible

Question 21

Lymphangioleiomyomatosis

Answer 21

goes with young women of child-bearing age and spontaneous pneumothorax

Question 22

cryptogenic organizing pneumonia is treated with?

Answer 22

steroids